Abstract
Damage to the cochlea and auditory brainstem pathway occurs following head injury and it causes hearing loss and /or dizziness. Observation made in 57 post headinjury patients employing auditory brainstem evoked response and other audiologic test suggests that neuropathological changes do occur besides the cochlea in the nerve and brainstem pathway in the pons and midbrain in a significant percentage of patients. This new knowledge on neuropathological processes that occur in the brainstem level would greatly help in the management of the deaf caused by head trauma. ABR in the rehabilitation program especially the hearing aid and cochlear implementation for the post headtrauma deafness will have its place in the audiologic and rehabilitation sciences.
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References
Hough JVD (1969): Restoration of hearing loss after head trauma. Ann Otol Rhinol Laryngol; 78:210–226.
Ward PH (1969): The histopathology of auditory and vestibular disorders in head trauma. Ann Otol Rhinol laryngol; 78:227–238.
Hall III JW, Huxng-Fu M, Gennarelli TA (1982): Auditory function in acute severe head trauma. Laryngoscope; 92:833–890.
Griffiths MV (1979): The incidence of auditory and vestibular concussion following minor head injury. J.Laryngol Otol; 93:253–265.
Kochhar LK, Deka RC, Kacker SK, Raman EV (1990): Hearing loss after head injury. Ear, Nose and Throat Journal; 69:537–542.
Barber HO (1969): Head injury — audiological and vestibular findings. Ann Otol Rhinol Laryngol; 78:239–252.
Clark GM, Tong YC, Patrick JF, et at (1984): A multichannel hearing proosthesis for profound to total hearing loss. J. Med. Engg. Tech. 8: 3–8.
House WF, Berliner Kl (1982): The Cochlear implant. Otol Clin North Am. 15 : 917–923.
Adams RD, Victor M (1985) : Craniocerebral trauma. In principles of Neurology, 3rd Edition,McGraw Hill Book Company pp.34:641–664.
Podoshin L, Ben-David Y, Fradis M, Pratt H, Sharf B, Schwartz M (1990): Brainstem auditory evoked potential with increased stimulus rate in minor head trauma. J. LaryngolOtol; 104:181–194.
Schuknecht H (1969).: Mechanism of inner ear injury from blows to the head : In symposium on auditory and vestibular disorders in head trauma. Ann Otol Rhinol Laryngol; 78:253–262.
Friede RL (1961): Experimental concussion accleration. Arch. Otolaryngol; 4:449–463.
Groat RA, Windle WF, Magoun HW (1945): Functional and structural changes in the monkey’s brain during and after concussion. J. Neurosurg; 2:26–35.
Mitchell BE, Adams JH (1971): Primary focal impact damage to the brainstem in blunt head injuries. Does it exist? Lancet; 2:213–218.
Oppenheimer DR (1968): Microscopic lesions in the brain following head injury. J Neurosurg Psychiatr. 31:299–306.
Pratt H, Ben-David Y, Podoshin L, Sharf B (1981): Auditory brainstem evoked potential : Clinical promise of increased stimulus rate. Electroencephalogr. Clin neurophysiol 51:80–90.
Ommaya AK, Rockoff LD, Balwin M (1964): Experimental concussion. J Neurosurgery, 21:249–252.
Foltz EL, Schmidt RP (1956): The role of reticular formation in the coma of head injury. J. Neurosurgery; 13:145–149.
Jeweet DL, Williston JS (1971): Auditory evoked far-field averaged potential from scalp of human. Brain. 94:681–696.
Deka RC, Kacker SK (1986): Auditory brainstem evoked response in Meniere’s disease. Ind J Otolaryngol; 38:14–17.
Deka RC, Kacker SK, Tandon PN (1987): Auditory brainstem evoked responses in cerebellopontile angle tumours. Arch Otol Head Neck Surg; 113:647–650.
Starr A, Achor LJ (1975): Auditory brainstem responses in neurological disease. Arch Neurol, 32:761–768.
Stockard JJ (1982): Brainstem auditory evoked potentials in adult and infant sleep apnea syndrome including sudden infant death syndrome and near miss for sudden infant death. Ann NY Acad Sci, 388:443–465.
Rowe J, Carlson C (1980): Brainstem auditory evoked potentials in post concussion dizziness. Arch Neurol; 37:679–683.
Abd Al Hady, MR, Shjehata, O, El-Mously, M, Sallam, FS (1990): Audiological findings following head trauma. J. Laryngol Otol; 104:927–936.
Elwany S (1988): Auditory brainstem responses in patients with acute severe closed head injuries. J Laryngol Otol, 102:755–759.
Deka RC (1985) : ENG Studies on post mastoid cases. Ind, J, Otolaryngol. 37:147(P).
Claussen CF, Schlachta, Ivon (1972): Butterfly charting for caloric nystagmus evaluation. Arch Otolaryngol, 96:371–373.
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Deka, R.C., Kacker, S.K. Auditory brainstem evoked responses in post head injury patients with hearing loss. IJO & HNS 47, 113–118 (1995). https://doi.org/10.1007/BF03047938
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DOI: https://doi.org/10.1007/BF03047938